PMID: 15379413Sep 24, 2004Paper

The androgen insensitive micropenis: long-term follow-up into adulthood

Journal of Pediatric Endocrinology & Metabolism : JPEM
D A Husmann

Abstract

To assess the adult stretched penile length (SPL) and sexuality in patients with micropenis who exhibited an inadequate response to exogenous testosterone therapy and were raised as males. Patients with micropenis who had an equivocal response to exogenous testosterone therapy and were raised as males were evaluated at adulthood (>17 yr). Twenty patients with micropenis, initial median SPL -3.3 SD below the mean (range -5.5 to -2.6) had a suboptimal response to initial testosterone therapy, median SPL post-treatment -2.7 SD (-3.3 to -2.2), and were raised as males. At adulthood, 90% (18/20) had a micropenis, median SPL -3.4 (-5.9 to -2.2). All have a male gender identity, five are undergoing psychiatric counseling (fear of sexual rejection--five patients, one of whom also has suicidal ideation). Eight have not pursued a sexual relationship; 12 are sexually active, one of whom is bisexual.

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Citations

Jul 13, 2005·Archives of Sexual Behavior·Tom Mazur
Jul 27, 2005·Journal of Pediatric Endocrinology & Metabolism : JPEM·William G Reiner
Mar 20, 2013·The Journal of Urology·Yvonne G van der ZwanUNKNOWN Dutch Study Group on DSD
Jul 24, 2012·The Journal of Urology·Christopher R J WoodhouseSarah Creighton
Jul 14, 2010·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Shirley Tsang
Aug 7, 2009·International Journal of Andrology·Michelle WelshRichard M Sharpe
Oct 25, 2008·Journal of Pediatric Urology·Alaa CheikhelardPierre Mouriquand
Aug 15, 2012·Nature Reviews. Urology·Oliver KayesSuks Minhas

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